Effect of transcutaneous electrical nerve stimulation on the postpartum dyspareunia treatment (original) (raw)
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Perineal Massage Improves the Dyspareunia Caused by Tenderness of the Pelvic Floor Muscles
Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2016
Aim To evaluate the long-term effectiveness of perineal Thiele massage in the treatment of women with dyspareunia caused by tenderness of the pelvic floor muscles. Methods A total of 18 women with diagnoses of dyspareunia caused by tenderness of the pelvic floor muscles were included in the study. The women were divided in two groups: the dyspareunia (D) group - 8 women with dyspareunia caused by tenderness of the pelvic floor muscles; and the chronic pelvic pain group (CPP) group - 10 women with dyspareunia caused by tenderness of the pelvic floor muscles associated with CPP. Each patient filled out the Visual Analogue Scale (VAS), the McGill Pain Index, the Female Sexual Function Index (FSFI) and the Hospital Anxiety and Depression Scale (HADS). After an evaluation, the women underwent transvaginal massage using the Thiele technique over a period of 5 minutes, once a week for 4 weeks. Results All women had significant improvements in their dyspareunia according the VAS and the McG...
Perineal massage to prevent perineal trauma in childbirth
The Israel Medical Association journal : IMAJ, 2008
Perineal trauma is defined as any damage to the genitalia occurring during childbirth, either spontaneously or because of a surgical incision or episiotomy . A large British study showed that 85% of women delivering vaginally will sustain some form of perineal trauma . Over two-thirds of such women will require suturing. Genital tract lacerations after childbirth also weaken the pelvic floor muscles. Perineal trauma affects women's physical, psychological, and social well-being in the immediate postnatal period as well as in the longer term. Possible deleterious effects include painful intercourse, urinary and fecal incontinence, and persistent perineal pain . Thus, at 8 weeks after birth, 22% of new mothers reported continued perineal pain, and for some women, pain may persist for a year or longer . The likelihood of perineal pain and sexual problems in the postpartum period is the least for women whose perineum remains intact .
Acta Obstetricia et Gynecologica Scandinavica, 2007
Background. Breast-feeding in the postpartum period is known to induce intense uterine contractions with pain in the lower abdomen. Aims. The primary aim of this study was to compare the effects of high and low intensity, high frequency Transcutaneous Electric Nerve Stimulation (TENS) on pain and discomfort of postpartum uterine contractions. The secondary aim was to evaluate discomfort experienced from the stimulation itself. Methods. Twenty-one newly delivered women participated in this single-blind trial, 12 women received high intensity, high-frequency TENS (HI TENS) and 9 women received low intensity, high-frequency TENS (LI TENS). The electrodes were placed abdominally on each side of the uterus. Stimulation was done during one minute. Visual analogue scales were used to evaluate the intensity of the pain before and after stimulation. A verbal scale was used to estimate sensation of discomfort before, during and after stimulation. Results. The median decrease in pain ratings before and after treatment by VAS was larger in the HI TENS group (/49mm (95% CI (/66.5 Á (/33.2) than in the LI TENS group (/21mm (95% CI (/39.0 Á (/20.0). The reduction of pain was most pronounced in the HI TENS group (median difference 28 (95% CI was 14.0 Á53.0). Furthermore, the HI TENS group experienced significantly less discomfort of the uterine contractions after stimulation (p B/0.01) but they also experienced more discomfort of the stimulation than women in the LI TENS group (p B/0.01). Conclusion. The women treated with HI TENS, experienced significantly less postpartum pain and discomfort to those treated with LI TENS even though the discomfort from the stimulation with HI TENS was greater.
International Urogynecology Journal, 2014
Introduction and hypothesis The effect of different episiotomy techniques on pain perception 3 months after delivery is unknown. Study aims were to explore the association between different episiotomy techniques and perineal pain 3 months after delivery and to assess female sexual activity in relation to episiotomy technique. Methods This is a prospective observational study, designed to investigate short-and long-term complications of different episiotomy techniques. All 300 participants were recruited and clinically examined during their postpartum hospital stay in order to evaluate episiotomy performance. A 3-month follow-up questionnaire addressing pain, sexual activity, and puerperal wound infection was distributed to 208 women who had scored perineal pain in a personal interview the first day after delivery. Results A response rate of 87.7 % was obtained. We found no difference in pain score distribution by Visual Analogue Scale (VAS) when comparing midline, mediolateral, and lateral episiotomy techniques (p=0.32) or between midline and lateral incision points (p=0.58). Dyspareunia was reported by 33 out of 179 women, but no difference between episiotomy techniques (p=0.90), or between episiotomy incision points (p=0.14), was found. Perineal wound infection was reported by 9.5 %, but there was no significant difference between episiotomy techniques (p=0.73).
Perspectives on the Therapeutic Effects of Pelvic Floor Electrical Stimulation: A Systematic Review
International Journal of Environmental Research and Public Health
Pelvic, perineal, and nervous lesions, which derive principally from pregnancy and childbirth, may lead to pelvic floor dysfunctions, such as organ prolapses and lesions in the nerves and muscles due to muscle expansion and physiology. It is estimated that 70% of women affected by this clinical picture have symptoms that do not respond to the classical treatments with antimuscarinic and anticholinergic drugs. Therefore, resorting to efficient alternatives and less invasive methods is necessary to assist this public health problem that predominantly affects the female population, which is more susceptible to the risk factors. This study aimed to perform an updated and comprehensive literature review focused on the effects of pelvic floor electrical stimulation, considering new perspectives such as a correlation between electric current and site of intervention and other molecular aspects, different from the present reviews that predominantly evaluate urodynamic aspects. For that purp...
Effect of Transcutaneous Electrical Nerve Stimulation on Primary Dysmenorrhea
Neuromodulation: Technology at the Neural Interface, 2009
Objectives. Dysmenorrhea is a disturbing problem among women of childbearing age. The purpose of this study is to investigate the effect of high-frequency transcutaneous electrical nerve stimulation (TENS) on primary dysmenorrhea and to compare the placebo effect by sham TENS in a randomized controlled study. Materials and Methods. Twenty-two women participated in the two-month experiment by using TENS or sham TENS in a random order for their dysmenorrhea. Outcome measures included self-reported pain intensity, symptom and function questionnaire related to dysmenorrhea, quality of life, satisfaction after TENS application, and other pain management agents adapted by the participants. Two-way repeated measures analysis of variance (two-way ANOVA) was conducted to compare pain intensity between pre-post values and groups (TENS vs. placebo). One-way repeated measures analysis of variance (one-way ANOVA) was conducted to compare scores from questionnaire of symptoms and quality of life at baseline, and after placebo or TENS stimulation. Results. Pain intensity in TENS is significantly decreased than in the placebo group (p = 0.018). The decrease of pain intensity after TENS and placebo TENS were both significant, with p < 0.00005 and p < 0.00005 respectively. Furthermore, TENS significantly changed the degree of autonomic symptoms (p = 0.048); but not after placebo TENS. Conclusion. This result supports that women in our country who suffer from primary dysmenorrhea could benefit by using TENS, which is consistent with the previous studies. In addition to pain-relieving effects, relief of the autonomic symptoms associated with dysmenorrhea also indicated that the mechanism of TENS might be different from the placebo effect of the sham TENS stimulation. These findings indicate the immediate effects of TENS in women with primary dysmenorrheal.